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NPI Code Detail

MEDICARE: DR. STEFAN BALAN M.D.

MEDICARE: DR. STEFAN BALAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician254898MA

General Provider Information

NPI Number : 1962504936
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEFAN BALAN M.D.
Provider Business Mailing Address
First Line : 146 HICKORY RD
Second Line :
City : UNION
State : NJ
Zip : 07083-6407
Country : US
Telephone Number : 917-887-5113
Fax Number :
Provider Business Practice Location Address
First Line : 620 WASHINGTON ST STE 2130
Second Line :
City : WINCHESTER
State : MA
Zip : 01890-1328
Country : US
Telephone Number : 781-750-5000
Fax Number : 781-750-5300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 02/09/2026

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